| NPI | 1386611531 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 217897-1) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 217897) |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: NY 217897) | |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2017-04-21 |